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NOT YET RECRUITING
NCT07669363
PHASE2

Hexaminolevulinate Photodynamic Therapy (HAL-PDT) With Deferred Surgery Versus Surgery for High-grade Squamous Intraepithelial Lesions (HSIL)

Sponsor: Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

View on ClinicalTrials.gov

Summary

High-grade squamous intraepithelial lesions (HSIL), encompassing cervical intraepithelial neoplasia grade 2 (CIN2) with p16 positivity and grade 3 (CIN3), are precancerous conditions that require effective intervention. This Phase II study aims to comprehensively evaluate the efficacy, safety, and impact on quality of life of hexaminolevulinate photodynamic therapy (HAL-PDT) with deferred surgery compared to immediate surgical treatment in subjects with HSIL. This is a prospective, open-label, randomized, controlled, non-inferiority trial. A total of 230 subjects are planned to be enrolled, with 115 subjects allocated to each treatment group (HAL-PDT with Deferred Surgery or Immediate Surgery ). The primary endpoint is the pathological regression rate at 12 months, defined as histological findings of normal tissue or low-grade squamous intraepithelial lesions (LSIL) via colposcopy-directed biopsy. Key secondary endpoints include Human Papillomavirus (HPV) clearance rates at 6 and 12 months, pathological regression rate at 6 months, quality of life assessed by the EORTC QLQ-CX24 questionnaire, safety profiles (incidence, severity, and duration of AEs and SAEs, as well as their relationship to the study treatments), and the proportion of subjects developing cervical cancer within 12 months.

Official title: A Prospective, Open-label, Randomized, Controlled, Non-inferiority Phase II Study Comparing HAL-PDT With Deferred Surgery Versus Immediate Surgery in Subjects With High-grade Squamous Intraepithelial Lesions (HSIL)

Key Details

Gender

FEMALE

Age Range

18 Days - Any

Study Type

INTERVENTIONAL

Enrollment

230

Start Date

2026-07-01

Completion Date

2029-06-16

Last Updated

2026-07-09

Healthy Volunteers

No

Interventions

PROCEDURE

Loop Electrosurgical Excision Procedure (LEEP) or Cold Knife Conization (CKC)

Subjects undergo immediate surgical excision of the cervical lesion via either Loop Electrosurgical Excision Procedure (LEEP) or Cold Knife Conization (CKC), as determined by the investigator based on the subject's individual lesion characteristics, size, and clinical presentation, following standard institutional surgical protocols.

COMBINATION_PRODUCT

HAL 5% with illumination

HAL-PDT is a drug-device combination product. The drug is hexaminolevulinate hydrochloride (HAL) 5% ointment. The device is a single-use cervical light delivery device (CL7) with integrated red LEDs. The ointment is applied into the device cup, placed against the cervix for 5 hours of drug absorption, then automatically delivers 125 J/cm² photodynamic therapy for 4 hours and 36 minutes. Total in-situ time is 11-24 hours. Patients remove the device themselves. Treatment regimen: one session every 2 weeks for a total of 6 sessions (Q2W × 6).

Locations (28)

Fujian Medical University Union Hospital

Fuzhou, Fujian, China

The First Affiliated Hospital of Fujian Medical University

Fuzhou, Fujian, China

Xiamen Maternity and Child Healthcare Hospital

Xiamen, Fujian, China

he First Affiliated Hospital of Xiamen University

Xiamen, Fujian, China

The First People's Hospital of Foshan

Foshan, Guangdong, China

Foshan Shunde Maternal and Child Health Hospital

Foshan, Guangdong, China

Guangdong Women and Children Hospital

Guangzhou, Guangdong, China

The Affiliated Cancer Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Guangdong ProvincialHospital of Chinese Medicine

Guangzhou, Guangdong, China

Guangzhou First People's Hospital (The Second Affiliated Hospital of South China University of Technology)

Guangzhou, Guangdong, China

Zhujiang Hospital, Southern Medical University

Guangzhou, Guangdong, China

Guangdong Second Provincial GeneralHospital (Guangdong Provincial Emergency Hospital)

Guangzhou, Guangdong, China

The First AffiliatedHospital, Guangzhou University ofTraditional Chinese Medicine

Guangzhou, Guangdong, China

Guangzhou Women and Children's Medical Center (The Affiliated Women and Children's Medical Center of Guangzhou Medical University)

Guangzhou, Guangdong, China

Panyu Central Hospital Affiliated to Guangzhou Medical University

Guangzhou, Guangdong, China

Shenzhen Maternity and Child Health Hospital

Shenzhen, Guangdong, China

Peking University Shenzhen Hospital

Shenzhen, Guangdong, China

The First Affiliated Hospital, Sun Yat-sen University

Zhongshan, Guangdong, China

Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital

Nanning, Guangxi, China

The First Affiliated Hospital of Guangxi Medical University

Nanning, Guangxi, China

Dongguan Maternal and Child Health Care Hosptial

Dongguan, Guangzhou, China

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

The First Affiliated Hospital with Nanjing Medical University (Jiangsu Provincial People's Hospital)

Nanjing, Jiangsu, China

The First Hospital of Jilin University

Changchun, Jinlin, China

The General Hospital of Northern Theater Command of the Chinese People's Liberation Army

Shenyang, Liaoning, China

Shanxi Provincial People's Hospital

Taiyuan, Shanxi, China

The West China Second University Hospital of Sichuan University

Chengdu, Sichuan, China

Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital)

Hangzhou, Zhejiang, China